The holder whose full name is Kollbaum, Elli J.,come from Bloomington IN,hold the Optometrist license(NO.18002935A) which status is Active.
| Name | Kollbaum, Elli J. |
|---|---|
| License Number | 18002935A |
| License Type | Optometrist |
| License Status | Active |
| City | Bloomington |
| State | IN |